risk!The men's two bottles of beer were under the belly, and the esophagus was "broken"!

In the summer night, people always like to make friends in hot pot restaurants and barbecue restaurants, talk about life, and order a few bottles of ice beer. Dangerous danger. No, a man in Nanjing's two bottles of beer was under his belly, and the esophagus was "broken"!

Recently, the Department of Emergency Department of Nanjing Hospital of Traditional Chinese Medicine sent a young man (Mr. Wang) who had a drink and frequent vomiting. Most people think that this is poisonous in alcohol, but the situation is more complicated! Mr. Wang kept covering his chest and abdomen in his hands, and kept shouting in his mouth. After investigation, the emergency department found that Mr. Wang's left breathing sound was slightly lower, abdominal bloating, abdominal muscles, increased body temperature, accelerated breathing, blood pressure decreased, and the condition. Very critical.

The emergency doctor learned that Mr. Wang was happy with his friends before he came to the hospital and drank two bottles of beer. It was speculated that Mr. Wang might be rupture of the esophagus and immediately arranged Mr. Wang to perform a CT examination. The results showed that the lower part of the esophagus was ruptured and the thoracic effusion was visible on the left. The emergency doctor immediately contacted Director Dong Guohua of the chest, cardiovascular vascular surgery, and opened the green channel to send Mr. Wang to the operating room for rescue.

After receiving the notice, Director Dong Guohua carefully checked the various inspection reports of Mr. Wang, formulated the surgical plan in detail, sutured Mr. Wang's rupture of the esophagus, which made it out of danger. A large amount of brown liquid flows out, and food residues can be seen.

Director Dong Guohua said that (spontaneous) the rupture of the esophagus is relatively rare, but the mortality rate is very high. Most of the patients are men 40-60 years old. The causes of the disease are mostly related to the sharp increase in the abdomen. The rapid pressure of rapid pressure can easily lead to the rupture of the esophagus. The factors that cause abdominal pressure to rise daily include vomiting, overeating, vomiting weight loss, severe cough, hard urination, delivery, etc. Essence

After the esophagus is ruptured, the food, gastric juice, etc. in the stomach will quickly enter the thoracic septum through the broken mouth, causing severe hypertrophy infections. Secondly, the gastric juice is also corrosive. If the pleural and even the thoracic cavity is corroded, it is likely to cause pneumothorax, shock and death. Studies have found that the mortality rate is only 25%within 24 hours of spontaneous esophageal rupture; more than 24 hours, the mortality rate increases to 60%; if it exceeds 48 hours, the mortality rate can even reach 100%. Common clinical symptoms of esophageal rupture are nausea, vomiting, pain in the heart nest (tearing, cutting samples), and pain can be involved in the same part of the shoulder, abdomen, back and other parts. Some patients have vomiting. Once the above symptoms occur, Please seek medical treatment in time.

Summer is here, experts remind that the esophagus is to prevent the esophagus rupture, do not drink excessive drinking, do not overeating, do not vomit and lose weight, and do not swallow forcibly.

Correspondent Xia Fan Nanjing Morning Post/Ai Nanjing reporter Qi Zaibing

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